| NPI | 1538102348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009119) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069486-1) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-10-09 |